Organization
PENINSULA PATHOLOGISTS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY ALONZO MD (PRESIDENT)
(650) 616-2955
Entity
Organization
Contact information
Practice address
393 E GRAND AVE, SUITE I, SOUTH SAN FRANCISCO, CA 94080-6233
(650) 616-2955
(650) 246-3623
Mailing address
393 E GRAND AVE, SUITE I, SOUTH SAN FRANCISCO, CA 94080-6233
(650) 616-2955
(650) 246-3623
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF331997
CA
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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